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Iowa rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.35 / $272.25 / $272.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.01 / $160.88 / $257.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $332.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.52 / $376.88 / $471.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.12 / $325.04 / $370.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.73 / $392.89 / $1,389.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.49 / $185.73 / $412.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.47 / $332.44 / $404.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.26 / $388.34 / $635.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.49 / $155.81 / $396.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.18 / $296.18 / $296.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.98 / $296.18 / $296.18